Background: A literature review reveals that neck pain is more commonly associated with migraine than is nausea, that reduced neck muscle function and reduced cervical range of motion is present in migraineurs that is not documented in those without migraine, and that there is pharmacological overlap in the treatment response of migraine and neck pain associated with migraine. Case: We report the case of a teenage girl with right-sided migraines without aura whose symptoms resolve over a 3-month period in response to a therapeutic neck exercise program. Conclusion: A structured therapeutic neck exercise program decreased migraine frequency from 8 migraine days per month to 0 migraine days in the last 11 weeks of our patient's 4-month treatment period. This result raises the question of to what extent a therapeutic neck exercise program might offer similar relief to other migraineurs.